Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Hamline, Michelle Y.; Speier, Rebecca L.; Vu, Paul Dai; Tancredi, Daniel J.; Broman, Alia R.; Rasmussen, Lisa N.; Tullius, Brian P.; Shaikh, Ulfat; Li, Su-Ting Terry

doi:10.1542/peds.2018-0442

Cited by 40 publications

(29 citation statements)

References 101 publications

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“…Randomized controlled pragmatic clinical trial evaluating the effectiveness of a discharge follow-up phone call on 30-day hospital readmissions: balancing pragmatic and explanatory design considerations. BMJ Open,8(2) Hamline, M. Y., Speier, R. L., Vu, P. D., Tancredi, D., Broman, A. R., Rasmussen, L. N., Tullius, B. P., Shaikh, U., & T. Li, S.-T. (2018 readmissions in adult patients with heart failure. Some future study is required to establish the optimal education content, delivery method, intensity, and timing.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to post discharge telephone calls, patient and family education with the teachback method is used in the hospital and after the patient is discharged to reinforce care and reduce readmissions (Almkuist, 2017;Coller et al, 2018;Hamline et al, 2018;Shermont et al, 2016;Yiadom et al, 2018). Shermont et al (2016) suggested that the teach-back methodology be implemented by all staff to support the improvement of patient education.…”

Section: Education With Teach-backmentioning

confidence: 99%

“…Outpatient follow-ups after hospitalization were a common theme in the literature for reducing hospital readmissions (Brittan et al, 2015;Christensen & Payne, 2016;Coller et al, 2018;Hamline et al, 2018;Hoyer et al, 2018;Kamermayer et al, 2017;Shermont et al, 2016). Brittan et al (2015) conducted a study specifically on follow-up visits and readmissions in medically complex children.…”

Section: Outpatient Follow-upmentioning

confidence: 99%

“…Conversely, children who followed up within three days were more likely to be admitted. Some of the literature focused on discharge bundles, which included outpatient follow-up to reduce readmissions (Coller et al,2018;Hamline et al, 2018;Kamermayer et al, 2017;Shermont et al, 2016). These studies evaluated outpatient follow-up along with medication reconciliation and discharge education with the teach-back method.…”

Section: Outpatient Follow-upmentioning

confidence: 99%

“…These studies evaluated outpatient follow-up along with medication reconciliation and discharge education with the teach-back method. While none of the studies listed a time interval for outpatient follow-ups, they all showed improvement in reducing readmissions (Coller et al, 2018;Hamline et al, 2018;Kamermayer et al, 2017;Shermont et al, 2016). Another study used transition guides for patients at high risk for readmission.…”

Section: Outpatient Follow-upmentioning

confidence: 99%

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Decreasing Readmissions in Medically Complex Children

Bartlett¹

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Practice Problem: There was a report of an existing practice problem of increased 30-day readmission rates in medically complex children at an outpatient clinic within an extensive hospital system. Hospital readmissions can cause clinical, social, and financial burdens to the patients and their families and thus reflected a need for interventions to reduce readmissions. PICOT: The PICOT question that guided this change project: In medically complex pediatric patients ages 0-17, what is the effect of a discharge intervention bundle in reducing all-cause 30-day hospital readmissions compared to current practice within an 8-week timeframe? Evidence: The literature revealed 18 pertinent studies that fit the inclusion and exclusion criteria that promoted a discharge intervention bundle. The themes within the evidence included post-discharge telephone calls, follow-up appointments, medication reconciliation, and education with teach-back to reduce overall readmission rates. Intervention: The evidence-based intervention utilized the bundle of post-discharge telephone calls within 72 hours, follow up appointments within 7 days, and medication reconciliation with education and teach-back through in-person and virtual care. The clinic nurses championed the intervention and tracked all the data using a check sheet. Outcome: Evaluation of the outcome measures confirmed a decrease in all-cause 30-day readmissions from 23% to 14.5% within the project timeframe. Implications of the findings support the existing evidence for implementing a multifaceted bundle to decrease readmissions. Conclusion: The evidence-based change project decreased all-cause 30-day readmissions rates. The results of the project proved that implementing consistent discharge standards in medically complex children helped guide medical staff, improved patient outcomes, saved costs to the organization, and reduced 30-day all-cause hospital readmissions.

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Section: Resultsmentioning

confidence: 99%

Section: Education With Teach-backmentioning

confidence: 99%

Section: Outpatient Follow-upmentioning

confidence: 99%

Section: Outpatient Follow-upmentioning

confidence: 99%

Section: Outpatient Follow-upmentioning

confidence: 99%

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Decreasing Readmissions in Medically Complex Children

Bartlett¹

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A Revolving Door to the Intensive Care Unit for Children Surviving Acute Respiratory Distress Syndrome

Killien

2023

JAMA Netw Open

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Hospital-to-home transitions for children with medical complexity: part 2—a core outcome set

Haspels,

de Lange,

Alsem

et al. 2023

Eur J Pediatr

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Appropriate outcome measures as part of high-quality intervention trials are critical to advancing hospital-to-home transitions for Children with Medical Complexity (CMC). Our aim was to conduct a Delphi study and focus groups to identify a Core Outcome Set (COS) that healthcare professionals and parents consider essential outcomes for future intervention research. The development process consisted of two phases: (1) a three-round Delphi study in which different professionals rated outcomes, previously described in a systematic review, for inclusion in the COS and (2) focus groups with parents of CMC to validate the results of the Delphi study. Forty-five professionals participated in the Delphi study. The response rates were 55%, 57%, and 58% in the three rounds, respectively. In addition to the 24 outcomes from the literature, the participants suggested 12 additional outcomes. The Delphi rounds resulted in the following core outcomes: (1) disease management, (2) child’s quality of life, and (3) impact on the life of families. Two focus groups with seven parents highlighted another core outcome: (4) self-efficacy of parents. Conclusion: An evidence-informed COS has been developed based on consensus among healthcare professionals and parents. These core outcomes could facilitate standard reporting in future CMC hospital to home transition research. This study facilitated the next step of COS development: selecting the appropriate measurement instruments for every outcome. What is Known:• Hospital-to-home transition for Children with Medical Complexity is a challenging process.• The use of core outcome sets could improve the quality and consistency of research reporting, ultimately leading to better outcomes for children and families. What is New:• The Core Outcome Set for transitional care for Children with Medical Complexity includes four outcomes: disease management, children’s quality of life, impact on the life of families, and self-efficacy of parents.

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Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Cited by 40 publications

References 101 publications

Decreasing Readmissions in Medically Complex Children

Decreasing Readmissions in Medically Complex Children

A Revolving Door to the Intensive Care Unit for Children Surviving Acute Respiratory Distress Syndrome

Hospital-to-home transitions for children with medical complexity: part 2—a core outcome set

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